- TYLin (San Diego, CA)
- …contract modifications, approvals, and any additional services-related to project accounting and billing . + Work with Project Managers to address overdue WIP and ... Receivables. + Responsible for understanding and interpreting project contracts and billing terms. + Participate in project kick-off meetings. + Prepare and/or… more
- Robert Half Accountemps (Pasadena, CA)
- …in the need of a Medical Biller with at least 1 year of medical billing experience. In this role, the Medical Biller will be responsible for accurately processing ... payers. + Follow up on unpaid claims and resolve billing issues. + Verify insurance eligibility and calculate patient...+ Strong knowledge of medical terminology, insurance processes, and coding (CPT, ICD-10). + Excellent attention to detail and… more
- Humana (Sacramento, CA)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Stanford Health Care (Palo Alto, CA)
- …identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary liaison ... existing tools to evaluate CDM requests with a focus on regulatory coding , compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard… more
- Cardinal Health (Sacramento, CA)
- …for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within ... payer-specific guidelines and timelines. + Coordinate with other billing team members, coders, and providers to resolve claim discrepancies. + Maintain up-to-date… more
- Publicis Groupe (Agoura Hills, CA)
- …This role helps maintain smooth internal processes across teams, overseeing billing , forecasting, reporting, vendor contracts, and systems access. The ideal ... proactive, with strong analytical and communication skills. **Responsibilities** **Financial & Billing Operations** + Manage monthly invoices, client billing … more
- Dignity Health (Bakersfield, CA)
- …strong project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices. - Proficiency in ... oversee and manage research efforts related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves… more
- Essel (Pomona, CA)
- …Lead, you will be responsible for managing and supporting the Customer Care and Billing (CC&B) system. This system plays a critical role, and your expertise will be ... + 5+ years of experience in managing and supporting the Customer Care and Billing (CC&B) system preferably with utility customer billing and related solutions +… more
- Sharp HealthCare (Chula Vista, CA)
- …Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) ... and Abilities** + Knowledge of Medical Terminology. + Knowledge of insurances, billing and collections guidelines/criteria. + Knowledge of Local, State, and Federal… more
- Humana (Sacramento, CA)
- …clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete, compliant and accurate to support ... Nurse Auditor 2 validates and interprets medical record documentation to ensure billing for services is complete, accurate and follows all necessary guidelines.… more